Health Affairs January 31, 2017
Three years after the Centers for Medicare & Medicaid Services (CMS) and the state of Maryland launched a bold approach to improve care for Marylanders and slow the growth in health care costs, Maryland continues to focus on limiting total per capita hospital spending and improving quality and health for all of its residents, including approximately 800,000 Medicare fee-for-service beneficiaries.
To implement the new model, the state converted its hospital payment system from traditional fee-for-service to a global system, in which hospital total revenue for all payers is set at the beginning of the year. The premise behind global hospital payments is simple: providing fixed, predictable revenues allows hospitals flexibility to invest in care and health improvement activities that reduce...